CPT 99448 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Evaluation and Management • Non-Face-to-Face Services |
| Common Place of Service | • 11 - Office • 21 - Inpatient Hospital • 99 - Other POS |
| Common Modifiers | • None • 95 - Telemedicine - audio and video • GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Moderate |
National average reimbursement for CPT 99448 by major payers:
$76.26
$64.80
$58.68
$97.33
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99448 | ||||||
United | 99448 | $83.80 | 1396903837 - SNEHAL PATEL | 264562522 - SETON FAMILY OF DOCTORS | TX | Internal Medicine Physician (207R00000X) |
United | 99448 | $65.69 | 1790718757 - JOSHUA GUNDERSHEIMER | 42460599 - (MA) WESTON PEDIATRIC PHYSICIANS, P.C. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $138.89 | 1477591469 - CROWN COLONY PEDIATRICS PC | 43138613 - (MA) CROWN COLONY PEDIATRICS, P.C. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $137.38 | 1497740948 - LINDA TORDOFF | 43148394 - (MA) TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC | MA | Pediatrics Physician (208000000X) |
United | 99448 | $71.65 | 1134191125 - PEDIATRIC ASSOCIATES OF GREATER SALEM, INC | 42740173 - (MA) PEDIATRIC ASSOCIATES OF GREATER SALEM, INC. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $123.44 | 1336434026 - LILY MALTZ | 43397450 - (MA) ATRIUS HEALTH, INC. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $134.96 | 1184625428 - MARK GILCHRIST | 274317046 - (MA) MARK G. GILCHRIST, M.D., LLC | MA | Pediatrics Physician (208000000X) |
United | 99448 | $126.62 | 1528054749 - YASSER FARRA | 203059260 - BHS PHYSICIANS NETWORK, INC | TX | Cardiovascular Disease Physician (207RC0000X) |
United | 99448 | $87.66 | 1912109778 - JESSICA ROME | 42547627 - (MA) PEDIATRIC ASSOCIATES OF FALL RIVER, INC. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $137.39 | 1841510427 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS, UT SOUTHWESTERN MEDICAL CENTER | 756002868 | TX | Internal Medicine Physician (207R00000X) |
United | 99448 | $54.72 | 1427257872 - ELIZABETH JUAREZ | 204701276 | TX | Internal Medicine Physician (207R00000X) |
United | 99448 | $47.24 | 1972727097 - NATHANIEL YOKUBAITIS | 752965695 - (TX) NATHANIEL T YOKUBAITIS MD PA | TX | Internal Medicine Physician (207R00000X) |
United | 99448 | $149.66 | 1699849166 - KENNETH FOWLER | 43236175 - MASS GENERAL BRIGHAM INCORPORATED | MA | Pediatrics Physician (208000000X) |
United | 99448 | $138.89 | 1447247937 - TRACEY BROWNING | 42647814 - (MA) PEDIATRIC ASSOCIATES OF HAMPDEN COUNTY, INC. | MA | Pediatrics Physician (208000000X) |
United | 99448 | $41.38 | 1063472678 - PETER TARBOX | 742887896 - (TX) PETER A TARBOX MD PA | TX | Neurology Physician (2084N0400X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 99448 vs. Other Non-Face-to-Face Services Codes
The CPT 99448 code is part of the Evaluation and Management services used for Non-Face-to-Face Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 99448 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 99446 | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;5-10 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99447 | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;11-20 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99448 | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;21-30 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99449 | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;31 Minutes Or More Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99448. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99448 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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